负压封闭引流技术对糖尿病足再发溃疡疗效的研究

发布时间：2018-11-16 21:29

【摘要】：目的探讨负压封闭引流技术对糖尿病足再发溃疡的疗效,为临床治疗提供参考依据。方法收集医院2012年3月-2016年1月糖尿病足患者123例,其中,初发溃疡组57例,再发溃疡组66例,两组均接受负压封闭引流技术治疗,治疗3~13周后观察其创面愈合情况,对比两组疗效。结果糖尿病足初发组治愈率为36.84%,再发组治愈率为19.70%,两组治愈率的差异有统计学意义(P0.05);糖尿病足初发组无效率为7.02%,糖尿病足再发组无效率为21.21%,两组无效率的差异有统计学意义(P0.05)。结论负压封闭引流技术对糖尿病足再发溃疡的疗效较初发溃疡差,可能与再发组糖尿病病程长、血糖控制差、外周动脉疾病发生率高、混合感染率高等相关。
[Abstract]:Objective to investigate the effect of negative pressure sealing drainage on recurrent diabetic foot ulcer and provide reference for clinical treatment. Methods 123 patients with diabetic foot were collected from March 2012 to January 2016 in our hospital. Among them, 57 cases were primary ulcer group and 66 cases were recurrent ulcer group. Both groups were treated with negative pressure blocking drainage technique, and the wound healing was observed after 3weeks of treatment. The curative effect was compared between the two groups. Results the cure rate of the first diabetic foot group was 36.84 and that of the recurrent group was 19.70. The difference between the two groups was statistically significant (P0.05). The inefficiency rate of diabetic foot group was 7.02 and that of diabetic foot recurrence group was 21.21. The difference between the two groups was statistically significant (P0.05). Conclusion the efficacy of negative pressure blocking drainage in treating recurrent diabetic foot ulcers is worse than that of primary ulcer, which may be related to the long course of diabetes mellitus, poor control of blood glucose, high incidence of peripheral artery disease and high mixed infection rate in recurrent diabetic foot.
【作者单位】：郑州大学第一附属医院外科门诊;
【分类号】：R587.2

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